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2017/41081/SU1

ISO 9001:2008

Optional Corrective Action Form


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The form has been developed to assist the client in responding to a


Concern raised by the Audit Team. The form may assist in
determining the reason for the Concern and how to prevent the
Concern from reoccurring.
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Concern Reference Number from Report 01

Question Detail Answer


What was the Concern? Seen curriculum design (academic program, syllabus and
RPP) needs to be improves in terms of [clause 7.3.5];
- there is inadequate design for number of lessons
hours between academic program semester, syllabus and
RPP in several subject lesson (i.e. Ms. Fransiska – Bahasa
Inggris Class XI; Mr. Rekho – Pemograman Dasar Class X;
Ms. Elsy Novarita – Produksi Acara Class XI; Ms. Ordi
Wardani – Dasar Kecantikan Kulit Class X)
- Module/job sheet for practice had not completed yet
for several subject lesson. (i.e. Mr. Rekho – Pemograman
Dasar Class X; Ms. Elsy Novarita – Produksi Acara Class XI;
Ms. Ordi Wardani – Dasar Kecantikan Kulit Class X)
Who is the person responsible to ensure ---
closure of the Concern?
What was the immediate action to ---
prevent the Concern from continuing?
After investigation, what was the ---
reason(s) for the Concern?
What is the action to be taken to prevent ---
the Concern from reoccurring again?

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Planned Date of Implementation of Corrective ---
Action
Client Signature or name of Person Responsible ---

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Name of URS Person Accepting Corrective ---
Action Plan
Date of acceptance if Completing at Client's Site ---

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